William Randolph Blodgett O.D.

NPI 1043376676 - Optometrist - 152W00000X

NPI Details
NPI 1043376676
Gender Male
Enumeration Date 12/28/2006
Last Updated 04/16/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
500 MILL ST
SUITE A-1
DANVILLE PA, 17821-1015, US
Phone (570) 275-0901
Fax (570) 275-0901
Business Location
500 MILL ST
SUITE A-1
DANVILLE PA, 17821-1015, US
Phone (570) 275-0901
Fax (570) 275-0901
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG001014
Remove 1043376676 NPI Number
 

According to our database, Dr. William Randolph Blodgett O.D. NPI is 1043376676, taxonomy code is 152W00000X and license number is OEG001014, license state is located at Pennsylvania. William Randolph Blodgett O.D. physically located at 500 Mill St, Danville PA, 17821-1015. NPI Number William Randolph Blodgett O.D. has the Individual type.

Sponsored links

1043376676 NPI number is provided on an as is basis without warranty of any kind. 1043376676 is maintained by the National Plan & Provider Enumeration System. The contents of William Randolph Blodgett O.D. are for informational purposes only.